Referral Forms

Referral Forms 

In order for the Tutoring Center to receive funding from the State of California, each student must be referred to the Tutoring Center by an instructor or a counselor. Please complete the Individual Referral Form and submit it to the Tutoring Center reception desk in Room 806.

Individual Referral Form (PDF)

Instructors may  refer entire classes to the Tutoring Center by completing the Class Referral Form and attaching your class roster, including student ID numbers. Please return the completed form and class roster to Deb Perkins, Tutoring Center Coordinator, via email, campus mail or by dropping it off at the Tutoring Center reception desk in Room 806.

Class Referral Form (PDF)